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It is well accepted that stress is a modulator increasing the frequency, duration, and severity of the asthma symptoms. However, little is known about the underlying mechanisms, although there are some reasonable models, such as decreased corticosteroid signals. Further investigations are needed.
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Asthma had been long considered as primarily psychogenic, often called asthma nervosa, until the inflammatory basis of the disease was revealed in the latter half of the twentieth century. In recent years, it is widely accepted that asthma is caused by chronic inflammation in the airway, and inhaled glucocorticoids which can inhibit the inflammation are recommended as the initial and primary therapy. Furthermore, because asthma itself in turn produces stress, the correlation between asthma and stress might be arise only from asthma-induced stress. Still, various observational studies indicate that asthma is greatly influenced by...
References and Further Reading
Alvarez, G. G., & Fitzgerald, J. M. (2007). A systematic review of the psychological risk factors associated with near fatal asthma or fatal asthma. Respiration, 74(2), 228.
Busse, W. W., & Kiecolt-Glaser, J. K. (1995). NHLBI workshop summary. Stress and asthma. American Journal of Respiratory and Critical Care Medicine, 151(1), 249.
Chen, E., & Miller, G. E. (2007). Stress and inflammation in exacerbations of asthma. Brain, Behavior, and Immunity, 21(8), 993.
Haczku, A., & Panettieri, R. A. (2010). Social stress and asthma: The role of corticosteroid insensitivity. The Journal of Allergy and Clinical Immunology, 125(3), 550.
Rosenberg, S. L., Miller, G. E., Brehm, J. M., & Celedón, J. C. (2014). Stress and asthma: Novel insights on genetic, epigenetic, and immunologic mechanisms. The Journal of Allergy and Clinical Immunology, 134(5), 1009.
Vig, R. S., & Forsythe, P. (2006). The role of stress in asthma: Insight from studies on the effect of acute and chronic stressors in models of airway inflammation. Annals of the New York Academy of Sciences, 1088, 65.
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Mitani, A. (2018). Asthma and Stress. In: Gellman, M. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6439-6_375-2
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DOI: https://doi.org/10.1007/978-1-4614-6439-6_375-2
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